University:
York University
Course:
NURSING 2534 | Pathophysiology
Academic year:

2023
Views:

498

Pages:

2
Author:

Niklas

Upper GI Problems Navsen Vomiting nausea fusing se discomfers in epigastric arts "vmwithing (emesis) forcefur ejection of partistly digtsid food concern bloed coffee ground old biotel →TACCO contents Management hydration loss of fluld worried about dehydration "Antiemetics odansetron mours toras cort clear liquids advance slowly prevent abeiro tien semi-fowier's or side-lying -suction meniter VS, record 140s, affess for dehydration Douci obstructions Drugs: antiemetics con mask disease Cautions promethazine asiow IV pish sedatives rise for falls Irritation or veins GERD: Gastroesophageal Reflux Disease backtow of goomic + duodenal contents into esophagus. Causes ها chronik Ipermanent mucosal damage Incomperent lower esophageal sphincter [weak sprincur] Fasane obesity, smoring, food, arugs [chocolax / spearmint, niatas hernia Causes Gl disorders, irritation. Intatious diseases pregnancy cardiovascular issue 'drug side effects GERD Drug Therapy PPis Histamine receptor blockers Antacids take 1-3hrs pour meals cautious use with sider adoirs, cifthesis HTN, renal pts dit + Na PPIs Hel secretion Licomplications wi long term use "H₂ receptor blockers HCI secretion دا not long term Complications: aspiration Prokinetics & gastric motility lower esophagus teats to 51bces Surgical Therapy antireflux surgery. denydration sto & skin tunger 48P dry mucobs -electrolyte imbalance menabolic alkalosis hypovolemic she hypotension 14BP) Nissen + Toupet fungoplication + urine corpor Drug Therapy OPIS tackyrarsia antacids Manifestadioro Pyloric stenosis stenotic backflow motility disorders diabetes Complications: csophagitis can lead to scar tisove Barrett's esophagus (BE) metaplasis of cens risk of canion cough aspiration dental erosion good oral care heartburn laparoscopic pain Spread into throat Ijaw relieved by antacid dyspepsia: painl discomfort in upper abdomen regurgitation: hot! bitter liquid (sometimes smens) wheezing, coughing Management Diagnesis Becsryle changes behavioral drug therapy diagnosis studies endoscopy cropnagram PH Testing Isw-fat diet, Smail meais avold ssconol, cзбене upriggs 2-3 post meals avoid earing Shrs belort besk Raise HOB Hiatal Hemia nemlation of part of stomach into esophagus aka diaphragmatic/csosnageal hernia. Types sliding (most common) pariosophageal trolling hernia more cause for concern 4can 4 can become strangulatud lschemic Parnophysiology "weakened mobile; intraabdominal pressure Clinical Manifestations similiar to GERD heartburn ayopepsia regurgication chest pains not reilerta by antacids beaching Diagnomic Studics Barium suatio Interventions: surgery nauce nernia Esophageal Serictones narrowing of esophagus [most ofien from GERD] causes cremicas ingestion, radlation, sorgery, trauma manistariang dysphagia regurgitation weight wes reatment -diluation using endoscopy. surgical excision